Sexual Obsessions in Obsessive-Compulsive Disorder: A Step-by-Step, Definitive Guide to Understanding, Diagnosis, and Treatment

ISBN : 9780190624798

Monnica T. Williams; Chad T. Wetterneck
344 ページ
156 x 235 mm

Sexual obsessions are a common symptom of OCD, but addressing them in the context of treatment is uniquely challenging due to heightened feelings of shame, widespread misdiagnosis from professionals, and the covert nature of ritualizing behaviors. These complicating factors make it difficult for clients to disclose their symptoms and for clinicians to know how to approach treatment. Sexual Obsessions in Obsessive-Compulsive Disorder provides clinicians with the information and guidance needed to successfully help clients experiencing unwanted and intrusive thoughts of a sexual nature. The book opens with background information on sexual obsessions and OCD, including assessment and differential diagnosis. Williams and Wetterneck then offer a complete, step-by-step manual describing how to provide treatment using a combination of empirically-supported CBT strategies, including exposure and response prevention, cognitive therapy, and acceptance and commitment therapy, as well as useful mindfulness techniques. Accompanying these practical, step-by-step instructions for therapists are educational handouts and diagrams for clients designed to promote learning. The book concludes with a discussion of relationship issues that commonly occur as a result of sexually-themed OCD, and how therapists can tackle these problems. Sexual Obsessions in Obsessive-Compulsive Disorder is an essential resource for clinicians who treat OCD, as well as students and trainees from across the mental health professions.


1. Understanding Sexual Obsessions
2. Assessing Clients with Sexual Obsessions
3. Step-by-Step Treatment Manual (with John Hart, Eric Lee, & Street Russell)
4. Association Splitting (Terence Ching, Steffen Moritz, & Lena Jelinek)
5. Treating Sexual Orientation Obsessions (with Jen Viscusi)
6. Treating Pedophile Obsessions (with Erin Nghe)
7. Relationship Issues (with Jen Viscusi)
8. Troubleshooting Common Problems, Issues, & Resources (with Erin Nghe & John Hart)
A. Materials for Clients
B. Measures
C. Session Notes


Monnica T. Williams, Ph.D., ABPP, is a board-certified clinical psychologist and Associate Professor at the University of Connecticut in the Department of Psychological Sciences. Her clinical work and research focus on OCD, trauma, culture, and African American mental health. Dr. Williams has published over 100 peer-reviewed articles and book chapters, and her work has been featured in several major media outlets, including NPR, CNN, and the New York Times. Chad T. Wetterneck, PhD is a clinical director and supervisor at Rogers Memorial Hospital (RMH). Over the past four years, he has served at the Co-Director of Research at the Houston OCD Program and served on the training and research committee for Obsessive Compulsive Foundation of Texas. Dr. Wetterneck has published over 40 peer-reviewed articles and book chapters focused on OCD and OC-spectrum conditions and presented at many peer-reviewed national/international conferences (over 150 paper/poster presentations).